Tag Archives: root canal treatment

Can’t Afford to Get Infected Tooth Removed

Hello,

I think I have a dental emergency. One of my teeth is throbbing with pain. I think I need a root canal, however, I cannot afford one. Should I wait to see a dentist when I can, or go see an emergency dentist immediately? It is really painful, I’m not sure how much longer I can deal with the swelling.

Mallick, from Trenton, New Jersey

 

Hi Mallick,

If it is swelling that much, you need immediate assistance. If you cannot go see your dentist, you will need to see someone who can do your root canal. If you cannot afford this, you will need to go see an emergency dentist.

If you do not see an emergency dentist for the infection, you run the risk of the infection spreading. An oral infection can spread to the heart or brain, and once it does, it can cause severe consequences and even death.

Also, do not take antibiotics without a treatment plan. The overuse of antibiotics can cause side effects, such as leading to treatment-resistant infections. Once the infection can no longer be treated with antibiotics, it will become more dangerous and more difficult to eradicate.

This blog post is brought to you by Phoenix emergency dentist, Dr. Hillary Peck, of Peck Family Dentistry.

The Filling Over my Root Canal Fell Out!

Hi,

I had a root canal done back when I had dental insurance. Now, I don’t have insurance anymore and the filling covering the gap the root canal left behind has fallen out. Since I lack the funds to see a dentist, I’d usually let it slide, but I’m worried. There’s a metal rod that’s been exposed, and what’s worse, it’s loose – I can wiggle it with my tongue. Is there anything I can do on my own, or is seeing a dentist my only solution? I need an affordable solution.

Barney, Poughkeepsie, NY

 

Hi Barney,

I’m sorry to hear about your situation. Root canal treatments can fail if they are not protected from saliva in the mouth. Loosening the protective filling can cause another infection, which means another root canal is needed, or else you will lose the tooth.

I’d recommend you go see a dentist that caters to your needs. If you explain your situation, they should be able to fix this for low cost (or if you’re lucky, no cost.) There are two different solutions I would recommend: The first is quick and easy, and can be done using Cavit (a paste that comes in a tube, and hardens when exposed to moisture – such as in the mouth).

A more permanent but still affordable solution would be to create a filling around a metal post using a bonded core material. In your case, if you can not afford to come back for a crown, this filling would last for several years. Once you have dental insurance again, or are in a more-secure financial state, you can complete the next step of treatment – a new root canal topped with the porcelain crown you need.

This blog is brought to you by Phoenix affordable dentist, Dr. Hillary Peck.

Dentist “Bait and Switched” Me with Prices

I had was diagnosed with a cavity two months ago. They said it was small enough we could just watch it for now because I told them I didn’t have much money. But, a few days ago it started hurting. Because I already knew the problem I just called around to a few dentists who advertised as affordable to see what their prices were. This one dentist was significantly cheaper than the rest so I booked with him. Then, when I get there he says the decay is too extensive and he’ll have to do a crown. That is way more money than I’d planned for. I left without having the work done. Should I get a second opinion? Do you think I’m being bait and switched?

Bruce

Dear Bruce,

Dollar sign hatched from an egg
Cheap does not always equal affordable.

There are a few things going on here. First, is financial. You need an affordable dentist who’s willing to work with you on payments. But, you’re making a common mistake in equating affordable with cheap. There are good dentists who find ways to be affordable but probably aren’t the cheapest. Then, there are dentists who quote cheap prices, but end up costing you more money because either their skill or the quality of their materials are sub-par.

It’s also possible, the dentist wasn’t trying to pull one over on you. The original diagnosis was a couple of months ago. That, combined with the fact that the tooth starting hurting, tells me the decay has spread. Once decay gets to a certain point a filling isn’t enough and a crown becomes necessary. If it blows up into an infection, you’ll need a root canal treatment as well.

Get a Second Opinion from Another Affordable Dentist

It’s okay to trust your gut. If you truly feel like this guy was trying to pull one over on you then you should get a second opinion. You can bring your x-rays from your previous appointment for the second dentist to examine which will save you on additional x-rays.

Remember, cheap doesn’t mean affordable. Look for dentists who offer payment plans and phased treatment options. But, check their reviews to make sure they have a good reputation.

This blog is brought to you by Drs. Kevin and Hillary Peck.

Can a Pediatric Dentist Whiten My Son’s Tooth?

I don’t know what is going on with my son’s teeth. His top two teeth are turning dark. The rest of them are okay. Can a pediatric dentist whiten them?

Laura

Dear Laura,

A child holding a teddy bear at the pediatric dentists office

If just his front teeth are turning dark and not the others, it’s not a staining issue. Is it possible your son has suffered some trauma to those teeth recently? Could he have been hit in the mouth with something?

When a tooth is turning dark it means the tooth is either dead or dying. He’ll need a root canal treatment. You didn’t mention how old he is so depending on his age a pulpotomy might be more appropriate. It’s like a root canal for children.

You’ll need to see your pediatric dentist and have his tooth evaluated. It’s important to figure out if there’s any other damage. If he still has adult teeth underneath you’ll need to make sure they aren’t damaged as well.

Teeth Whitening and Pediatrics

Professional teeth whitening only works on natural tooth structure that has been stained. It doesn’t work on dead teeth. It also won’t work on any dental work that’s been done, such as fillings or crowns.

Most children don’t need any whitening because regular brushing keeps their teeth white. It’s us old folks who’ve accumulated years of stains on their teeth from things like coffee or tea, cigarettes, staining foods, etc.

There are some medicines which can stain teeth. Tetracycline is the worst of these. In those cases, then some cosmetic work may be warranted.

I’m assuming you’re son is under the regular care of a pediatric or family dentist. Please don’t put off getting this looked at. The last thing you want is for this to turn into a dental emergency. Not only are they dangerous and can turn life-threatening, but it’s important children have positive dental experiences. We want pleasant instead of painful memories of their dental care.

This blog is brought to you by Drs. Kevin and Hillary Peck.

Pediatric Dentist Insists on Fluoride Even When Insurance Won’t Cover It

I’m trying to decide if it’s worth it to get a fluoride treatment every dental visit with our pediatric dentist. They always pressure me too even though our insurance only covers it once a year. Is it really necessary if we use fluoride toothpaste?

Cathy M.

Dear Cathy,

Child sitting in  Pediatric Dentist chair

It’s expensive raising children and I know how important it is to save every dime you can. Though, sometimes spending a little bit of money saves you a lot. Your pediatric dentist is correct, getting a fluoride treatment every time is one way you’ll not only save money, you’ll save them unnecessary dental work in the future.

I’m glad you use a fluoride toothpaste. Every bit helps. But toothpaste doesn’t contain much. The fluoride your dentist provides is much stronger and is painted on so your child doesn’t ingest it. Fluoride is known to protect against decay and even reverse early decay. That simple procedure is one of the most useful things you can invest in. I would also be sure you get dental sealants as well on their molars.

The last thing you want is to save $30 on fluoride only to have to spend $200 on a filling. Or, if the cavity grows quickly, needing a pulpotomy (a child’s version of a root canal treatment).

Preventative dental care is one of the best things you can do for your child.

This blog is brought to you by Dr. Kevin Peck.

Is It Possible to Get Affordable Dentistry with Attentive Care?

I needed to see a dentist but am between jobs. I googled cheap dentists and quite a few names popped up. I picked one close to me and went in hoping for the best.  I didn’t get it. In fact, I felt like I was on a conveyor belt. They rushed me in and out. Hardly asked any questions. I’m not sure if that’s normal, but I felt like a piece of cattle. I still need a couple more things done, but don’t have a ton of money as I’m living off savings right now. Is there a way to get affordable dentistry that still treats you like a human?

Carlton M.

Dear Carlton,

It’s great that you’re making an effort with your dental care even though you’re between jobs. Many people neglect their dental care in your situation, which ends up costing them more money and putting them in an emergency dental situation.

One thing to know is there is a distinct difference between cheap dentistry and affordable dentistry. Cheap dentistry usually means they lower their prices substantially in order to draw in patients. However, they have to make profits somewhere, so either they make it up with booking more patients than can be treated with attentive care or they cut corners by using sub par materials. Neither of those work out well for patients.

There are dentists who chose to be affordable in order to help people in your situation. They won’t have the rock bottom prices but they’ll be reasonable and they’ll be willing to work with you on payments so you can get the treatment you need.

Go ahead and do another search on affordable dentists (not cheap), then check their reviews to be sure the treatment other people received was the quality you deserve.

This blog is brought to you by Dr. Kevin Peck.

Dentist is Humiliating Me Because I’m Broke

I felt like a total failure when I went to the dentist. I hadn’t been able to go for two years, because I don’t have insurance and I have to save up for this kind of thing. It turns out those were two bad years for my teeth. I need five fillings and two crowns. First, the dentist derided me for not coming in sooner. Then, when I told him I couldn’t afford all the work he lectured me and said if I didn’t I would lose all my teeth or die. I was so humiliated because he said all this in front of his staff. But what is a patient supposed to do if they can’t afford something? I can’t produce money out of thin air.

Louis K.

Dear Louis,

That was bad form on the part of your dentist. It was unfair of him to lecture you for something you have no control over. It’s even more unfair that he humiliates you for needing to do this in stages. And, you should know, it is totally fine for you to do this in stages. Not everyone can afford to do all their work at once. You need to find a dentist who is willing to work with you financially.

In the meantime, have this dentist list out the work which needs to be done in order of priority. Which cavities or infections are further along. Do those first, giving yourself time to save up for the other procedures. There are also dentists who work with Care Credit. It’s a medical credit card, which will allow you to have all the work done at once (if you’d like), then pay it out. Often, depending on your credit, you can choose your terms. Some have zero interest.

Your dentist is right about one thing, though not the way he handled it. People do still die from tooth infections. In fact, a father in his thirties passed away this past February from not getting to the dentist in time. Some patients make the mistake of thinking just taking an antibiotic will be enough. It won’t. It will stave off an infection for a while, but because there is no blood stream in a tooth, there’s no way for the medicine to reach it. A dentist has to physically dig out the decayed material. So, while you can put this off for a bit, don’t wait too long. That’s why I asked you to have the dentist list out the work in order of urgency.

This blog is brought to you by Dr. Kevin Peck.

Are All Dentists Judgmental?

I’ll admit I don’t get to the dentist as often as is recommended. It’s not that I don’t want to, it’s just I can’t afford it. Not only do I not have dental insurance, so everything must be paid for out of pocket, but I lose income by going. I’m paid by the hour and dentists only seem to be open during normal working hours. I have to miss work to go. Essentially, I’m charged twice if you think about it. Even though I don’t go very often, I do try to go every two years. I rarely have a problem with my teeth, but I get a lecture every single time. I’ve switched dentists every couple of years for that very reason, but no matter who I go to, there’s still that lecture. Why are they so judgmental? Why can’t they seem to understand it’s a sacrifice for many people to get to the dentist?

Avery L.

Dear Avery,

I can understand your frustration. Here you are trying your best, making sacrifices to even get to the dentist and when you do, they treat you like someone who doesn’t take care of things. First, I want you to know that not all dentists will lecture you. In fact, some dentists will just be grateful you came and tell you so. Both sets, judgemental and non-judgmental, likely have the same mindset behind their response. They care and want you to get the proper care for your teeth. They go about it different ways, some more productive than others, but they mean well.

It sounds to me like you want dental care, but you need an affordable dentist. There are dentists who work to keep their fees down. They may even work with your schedule, so you don’t lose income. Explain your work situation. It may not be that they hold regular Saturday or evening hours, but would be willing to meet with you twice a year at less than peak times so you don’t lose income to get your teeth cleaned. They wouldn’t want you to advertise they’re doing that, but would be willing to help.

Another option is to consider using a program such as Care Credit. It’s a medical “credit card” of sorts. It allows you to go ahead with treatment and then slowly pay out the bill for the services you receive. Depending on what type of credit you have, you may even be able to get zero interest payments.

Something patients don’t generally consider is how much going to the dentist regularly saves them money, health, and time. If you get your teeth cleaned regularly you’re less likely to develop a cavity. If you do happen to develop one anyway, they’re often caught so early that a simple, small filling will be enough. When things are left to progress without early intervention you end up with a more invasive (and costly) procedure, such as a root canal treatment, or worse, an extraction and the need to get a tooth replacement.

This blog is brought to you by Dr. Kevin Peck.

I’m in so much pain….can I afford to fix it?

I writing this so others can learn from my experience:

It’s been a long time since I visited a dentist. Since my teeth always looked and felt fine, I never made it a point to go. When I started to have slight sensitivity in one area while eating and drinking I shrugged it off. That sensitivity turned into full-blown pain. Eating, drinking, silent or taking it throbbed. The pain woke me at night, and it was really starting to make me suffer. I knew I had to get to a dentist, but was afraid of what the outcome would be. Money is tight, and I know dentistry can be expensive. I was afraid of what they would tell me, and worse…how much it would cost.

My fears had come to fruition when I was told by my dentist I needed a root canal and then crown. I had dental insurance, but knew they covered but a minimal portion. Right away my mind wandered to what I can do to remedy this pain without going through the process of these “expensive” procedures. I asked if I could just medicate it, or better yet, if we could just pull it. As the doctor explained why those wasn’t an option, and proceeded to tell me how we could salvage the tooth, and make it fully functional, I was happy to hear of what the outcome could be. While this sounded good, I still was concerned with what my out-of-pocket cost would be, and if I could afford it. My panic heightened when the office staff informed me of my estimate, based on my insurance covering 50% of one procedure and even less on the other. Then they informed me of ways to have this work done and make it affordable. Procedures like the root canal and the crown are usually done in two office visits or more. They are spaced out over a couple of weeks, on a case by case basis. This space in office visits allowed me to segment my payments to the office, which alleviated the burden of cost. They also offered me financing through a third party. These companies that issue “health care credit cards” allowed me to receive the treatment I needed while paying monthly payments at my choosing (within their guidelines of course). I was happy to know that I didn’t have to put off treatment, and could get what I needed today, and in the future.

I’ve learned not to wait until you’re in pain to go to the dentist. Though I haven’t changed my preconceived notion that it is expensive, I’ve learned that most offices give you options to make it work. No matter how bad it may seem, it’s fixable…and yes, you can afford it.

~Carol L.- Milwaukee

 

Gray Tooth

My dentist says I have a gray tooth and she wants to see me again. Do you know why?

Bennie- Los Angeles

Bennie,

A gray tooth can mean your tooth is dying. Usually teeth die because of decay or trauma, though it is possible to die for other reasons or even no reason.

You didn’t mention  if  your tooth hurt. If you don’t feel any pain it is possible the nerve for the tooth has already died. If that is the case, bacteria will feed on the dead tissue. Eventually that will lead to an infection.

Depending on the situatioin, your dentist can treat this with a white filling or a root canal treatment.

This blog is brought to you by Phoenix dentist Dr. Kevin Peck.